Provider Demographics
NPI:1265493498
Name:NAMAN, GREG S (MD)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:S
Last Name:NAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARKON
Other - Middle Name:
Other - Last Name:NAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:911 E 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1934
Mailing Address - Country:US
Mailing Address - Phone:248-336-7000
Mailing Address - Fax:248-336-9137
Practice Address - Street 1:911 E 9 MILE RD
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1934
Practice Address - Country:US
Practice Address - Phone:248-336-7000
Practice Address - Fax:248-336-9137
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301068499207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1106354272OtherBCN IND
MI1265493498Medicaid
MI4308451Medicaid
MIP00910834OtherRAILROAD MEDICARE IND PIN
MI1106354272OtherBCBS IND
MI1265493498OtherBCN IND
MI1265493498OtherBCBS IND
MI1106354272OtherBCN IND
MI1106354272OtherBCBS IND
MIP00910834OtherRAILROAD MEDICARE IND PIN
MI4308451Medicaid
MI1265493498Medicare PIN